COMMUNITY MEDICAL GROUP
NPI 1396391033
Family Medicine in Lakeland, FL

Active since August 16, 2019CLIA Certified · 2 labs
5615 S FLORIDA AVE STE 111, LAKELAND, FL 33813(863) 327-0132(863) 777-2320 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2023, Mar 27, 2023, Dec 16, 2022 and 6 more (9 updates tracked since 2019).

About Community Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY MEDICAL GROUP (NPI 1396391033) is a healthcare organization registered as a family medicine in Lakeland, Florida and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Rayny Ramirez, President, as its authorized official.

NPPES Registry Identity

NPI1396391033
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACCESS MEDICAL GROUP OF LAKELAND, LLC
Location Address5615 S FLORIDA AVE STE 111Lakeland, FL 33813-2714
Mailing Address6100 Blue Lagoon Dr Ste 365Miami, FL 33126-7010 · (786) 208-3237 · Fax (786) 322-7329
Fax(863) 777-2320
Organization SubpartNo
Authorized OfficialRayny RamirezPresident · (786) 322-7333
Enumeration DateAugust 16, 2019
Last NPPES UpdateMay 25, 20239 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1396391033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5615 S FLORIDA AVE STE 111, Lakeland, FL 33813

Other Names 1

Doing Business AsCommunity Medical Group

Other Identifiers 1

Medicaid106341600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Community Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

General Practice
NPI 1932171063
5615 S FLORIDA AVE STE 111
Lakeland, FL 33813
(863) 327-0132
✔ PECOSSame address
Nurse Practitioner
NPI 1164147393
5615 S FLORIDA AVE STE 111
Lakeland, FL 33813
(863) 327-0132
✔ PECOSSame address
Family Practice
NPI 1164628236
5615 S FLORIDA AVE STE 111
Lakeland, FL 33813
(863) 327-0132
✔ PECOSSame address
Nurse Practitioner
NPI 1497324396
1707 W REYNOLDS ST STE 104
Plant City, FL 33563
(863) 225-2471
✔ PECOS11 mi
General Practice
NPI 1396497616
394 HAVENDALE BLVD
Auburndale, FL 33823
(863) 327-0131
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2177769

Access Medical Group Of Lakeland LLC Dba Community Medical Group · Lakeland, FL
Active · expires Jan 16, 2028
CLIA Number10D2177769
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorLucilo Alexi Morejon Guedes
Laboratory Phone(863) 327-0132
Laboratory LocationAccess Medical Group Of Lakeland LLC Dba Community Medical Group5615 S Florida Ave Ste 111, Lakeland, FL 33813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2174777

Access Medical Group Of Tampa III Inc Dba Community Medical Group · Auburndale, FL
Active · expires Nov 6, 2027
CLIA Number10D2174777
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorLucilo Alexi Morejon Guedes
Laboratory Phone(863) 327-0132
Laboratory LocationAccess Medical Group Of Tampa III Inc Dba Community Medical Group394 Havendale Blvd, Auburndale, FL 33823
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Access Medical Group Of Lakeland, LLC's NPI number?

The NPI number for Access Medical Group Of Lakeland, LLC is 1396391033. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider is doing business as Community Medical Group.

Where is Access Medical Group Of Lakeland, LLC located?

Access Medical Group Of Lakeland, LLC is located at 5615 S Florida Ave Ste 111, Lakeland, FL 33813. The listed phone number is (863) 327-0132.

What is Access Medical Group Of Lakeland, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Access Medical Group Of Lakeland, LLC enrolled in Medicare?

Yes. Access Medical Group Of Lakeland, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Access Medical Group Of Lakeland, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Access Medical Group Of Lakeland, LLC, in Family Practice, General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Access Medical Group Of Lakeland, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Access Medical Group Of Lakeland, LLC accept?

Health plans from Wellpoint list Access Medical Group Of Lakeland, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Access Medical Group Of Lakeland, LLC was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.